Get Mg Eft Form 2011 Finalr4.indd - Medigold

Filling out the MG EFT Form 2011 FinalR4.indd - MediGold online allows you to set up electronic funds transfers for your monthly premium payments efficiently. This guide provides a clear, step-by-step approach to completing the form accurately.

Follow the steps to effectively complete your EFT form.

1. Begin by clicking the ‘Get Form’ button to obtain the MG EFT Form 2011 FinalR4.indd. This will open the form in the online editing tool.
2. In the first section of the form, provide the full name of your bank, your name as the member, and the city and state of your bank.
3. Complete the member ID field if applicable, and enter your bank routing number which is essential for processing the electronic transfer.
4. Fill in your account number for the specified bank account. Ensure this information is accurate to avoid any processing issues.
5. Indicate whether the account type is checking or savings by marking the appropriate box.
6. If you are changing banks, check the box provided and fill in the required effective date for when you want the new account information to take effect.
7. Sign and date the authorization section to confirm that you authorize MediGold to initiate the debit entries as specified.
8. Attach a voided check or savings deposit slip to the form as proof of your bank account information.
9. Once you have completed the form, save your changes and proceed to download or print the completed document for your records.
10. Finally, if necessary, share the completed form with MediGold by returning it to the address provided.

Complete your forms online to ensure efficient management of your premium payments with MediGold.